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LIGHT AND LIFE WELLNESS CLINIC
NPI 1760808083
Clinic/Center - Occupational Medicine in Greenwood, SC

Active since March 11, 2014
450 OLD BRICKYARD RD, GREENWOOD, SC 29649(864) 725-7491 Get Directions Write a Review

NPPES record last updated: December 14, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Light And Life Wellness Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LIGHT AND LIFE WELLNESS CLINIC (NPI 1760808083) is a healthcare organization registered as an occupational medicine in Greenwood, South Carolina and active in the NPI registry since March 2014. The organization lists Matthew T Logan, President And Ceo, as its authorized official.

NPPES Registry Identity

NPI1760808083
Entity TypeOrganization
Primary Taxonomy261QX0100X
Legal Business NameSELF MEDICAL GROUP
Location Address450 OLD BRICKYARD RDGreenwood, SC 29649-8681
Mailing Address104 Wells AveGreenwood, SC 29646-3837 · (864) 725-7491
Phone(864) 725-7491
Organization SubpartNo
Authorized OfficialMatthew T LoganPresident And Ceo · (864) 725-4253
Enumeration DateMarch 11, 2014
Last NPPES UpdateDecember 14, 2021
NPPES CertifiedDecember 14, 2021
✔ NPI 1760808083 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Occupational MedicineAmbulatory Health Care Facilities
Taxonomy Code261QX0100X
450 OLD BRICKYARD RD, Greenwood, SC 29649
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Other Names 1

Other NameLight And Life Wellness Clinic

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Self Medical Group's NPI number?

The NPI number for Self Medical Group is 1760808083. It was assigned to this organization in the NPPES registry on March 11, 2014. The provider is also known as Light And Life Wellness Clinic.

Where is Self Medical Group located?

Self Medical Group is located at 450 Old Brickyard Rd, Greenwood, SC 29649. The listed phone number is (864) 725-7491.

What is Self Medical Group's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Occupational Medicine, with taxonomy code 261QX0100X.

When was this NPI record last updated?

The NPPES record for Self Medical Group was last updated on December 14, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.